MCCRACKEN, CHEYENNE AUTUMN - Licensee Information

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Last Update: Thursday, May 16, 2024 1:43 PM CDT
Next Update: Thursday, May 16, 2024 4:30 PM CDT

MCCRACKEN, CHEYENNE AUTUMN

Practice Address:	REHAB SOURCE 4350 WILL ROGERS PARKWAY SUIET 600 OKLAHOMA CITY OK 73108 Address last updated on 12/28/2023
Phone #:	(918) 290-1273 x2813
Fax #:
County:	OKLAHOMA
License:	3081
Dated:	8/13/2019
Expires:	1/31/2025
License Type:	Physical Therapist Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2025

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
REHAB SOURCE 4350 WILL ROGERS PARKWAY SUIET 600 OKLAHOMA CITY OK 73108 Phone #: (918) 290-1273 x2813 Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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